SESSION ID: MASH2-F03 #Psybersecurity: Mental Health Impact of Cyberattacks Ryan K. Louie, MD, PhD Psychiatrist Vituity Twitter: @ryanlouie #RSAC Let’s ask Dr. Google: mental health @ryanlouie 2 #RSAC Let’s ask Dr. Google: cyberattack @ryanlouie 3 #RSAC Cybercrime Cost: #RSAC https://pdf.ic3.gov/2019_IC3Report.pdf @ryanlouie 4 Cybercrime Cost: #RSAC What is the mental health cost? https://pdf.ic3.gov/2019_IC3Report.pdf @ryanlouie 5 #RSAC The Cybersecurity Mental Health Landscape #RSAC Parallels between different fields Medical Professions and Security Professions both involve: • High stress work environments that are constantly changing • Information that cannot be shared • Making decisions with incomplete or unknown information • Keeping up with new and more complex knowledge • Always on alert • Pressures from limited time and resources, team dynamics @ryanlouie 7 Mental Health Stress and Cybersecurity #RSAC Challenges of the Profession: • • • • • High expectations as first responders Words of thanks are rare Feelings of guilt when things are missed “Badge of Honor” to take on more responsibilities Finding holes and filling them https://published-prd.lanyonevents.com/published/rsaus18/sessionsFiles/ 9378/P2P4-T07-Cybersecurity-Impact-on-Mental-Health-Managing-Stress-Building-Resilience.pdf @ryanlouie 8 Mental Health Stress and Cybersecurity #RSAC Impact on Individuals: • Can’t “turn off” / Difficult to “get away” from work • Limited social support • Boundaries • Work expectations and team dynamics https://published-prd.lanyonevents.com/published/rsaus18/sessionsFiles/ 9378/P2P4-T07-Cybersecurity-Impact-on-Mental-Health-Managing-Stress-Building-Resilience.pdf @ryanlouie 9 CDC Study: Suicide Rates by Occupation #6 #12 @ryanlouie https://www.cdc.gov/mmwr/volumes/65/wr/mm6525a1.htm 10 #RSAC #RSAC What happens to a person’s mental health during a cyberattack? #RSAC Psychiatric Care: Problem @ryanlouie Interview Diagnosis Assessment 12 Treatment Response Stress - Strain Curve: Physics https://www.scienceabc.com/innovation/what-is-the-stress-strain-curve.html @ryanlouie 13 #RSAC Stress - Strain Curve: What about for humans? Mental Stress is • Difficult to measure • Different meanings for different people • “Invisible” • Stigmatized @ryanlouie 14 #RSAC #RSAC Yerkes - Dodson Curve https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Well-being-andBurnout/APA-Well-being-Ambassador-Toolkit-Challenges-and-Opportunities.pptx @ryanlouie 15 #RSAC Burnout: • Emotional Depletion • Detachment & Cynicism • Low Personal Achievement • Depersonalization https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Well-being-and-Burnout/APA-Wellbeing-Ambassador-Toolkit-Challenges-and-Opportunities.pptx @ryanlouie 16 Depression (DSM5 criteria): #RSAC 5 or more of the following for 2 or more weeks: • Feeling depressed in mood for most of the day • Not feeling like doing things for fun or interest • Notable weight loss or gain • Problems sleeping or sleeping too much almost every day • Movements have agitation or slowing • Feeling fatigued or loss of energy • Feeling worthless or too much guilt • Problems concentrating • Recurring thoughts of death or suicidal thoughts with or without a plan Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), American Psychiatric Association 2013. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Well-being-and-Burnout/APA-Well-being-Ambassador-ToolkitChallenges-and-Opportunities.pptx @ryanlouie 17 #RSAC PTSD-like symptoms: • Hypervigilance • Avoidance • Nightmares • Flashbacks @ryanlouie 18 #RSAC Paranoia: • Reality • Perceptions • Interpretations • Thoughts, emotions, and behaviors • Protective factor or destructive factor? @ryanlouie 19 #RSAC Examples of other issues: • • • • • • • • • Anxiety Phobias Obsessions and compulsions Mood symptoms Mania and hypomania Psychosis Delusions Personality traits Substance use @ryanlouie 20